盆腔肿瘤供血及介入治疗选择

BLOOD SUPPLY TO PELVIC TUMORS AND INTERVENTIONAL TREATMENT

目的 :探讨盆腔肿瘤供血特点对介入治疗选择的意义。材料和方法 ;分析 5 8例盆腔肿瘤 (男 12例 ,女 46例 )年龄 2 3岁～ 63岁 ,分别作双侧选择性髂内动脉造影 ,观察盆腔肿瘤的供血 ,行供血动脉选择性插管灌注栓塞治疗。化疗药物为阿霉素类、卡铂、5 -Fu、MMC,栓塞剂主要为明胶海绵颗粒。结果 :5 8例盆腔肿瘤中 ,5 4例为髂内动脉前干分支血管主要供血 ,仅少数病例是髂外动脉参与供血。并对 5 2例妇科盆腔肿瘤及 4例骶 (尾 )部肿瘤行肿瘤主要供血血管选择性灌注栓塞治疗 ,介入治疗术后所有病例均有全身情况改善 ,症状减轻 ,2 0例宫颈癌得以二期手术切除 ,4例子宫大出血得以控制 ;4例骶 (尾 )部肿瘤先行肿瘤供血动脉栓塞 ,栓后手术切除清楚 ,出血量减少。结论 :盆腔血管解剖和肿瘤血管特点 ,是介入治疗选择基础 ,可作为盆腔肿瘤急诊止血症状 。

Objective:Evaluate the characteristics of blood supply to pelvic malignancics for the import of interventional treatment.Datum and Methods:We analyed 58 cases(12 males,14 females),aged 23～63 years,sele-ctive uterine intenal iliac arterial catherization after viewed the blood supply to tumors.Results:Inclued 58 cases,54 cases were central blood supply of interal iliac artery,and any cases were supplied by external iliac artery.TACE was per-formed in 56 cases with pelvic malignancics.All of them were disappeared or alleviated agreatly after interventional treatment.Conclutions:It is importem base interventional treatment both to the anatomy of pelivis and charcteristics of blood supply to tumors.We showed that also used as one of the combined treatment to enhance theerpeertic effectiveness,and prolong patients life.